About the BJC ACO

Sandra Van Trease, BJC group president and president, BJC ACO, speaks to patients about the benefit of this expanded focus, and the ability of the patient and physician to share data or have a conversation about care needs.

BJC HealthCare was one of 89 health care provider organizations from across the country chosen as an Accountable Care Organization (ACO). The announcement was made July 9, 2012, by the Centers for Medicare and Medicaid Services (CMS). CMS began establishing ACOs in January 2012 to encourage groups of physicians, hospitals and other providers to coordinate health services for patients covered by Medicare and to share in savings obtained through high-quality, well-coordinated care.

BJC HealthCare was the first ACO in the St. Louis area. Health care information producer and publisher Becker's Hospital Review named BJC HealthCare ACO as one of the current Top 100 Accountable Care Organizations to Know.

It is one of the few ACOs that not only utilize home care as a service provider, but also place it within the ACO governing body. ACO News, a national news source on ACOs, highlighted the BJC HealthCare ACO in a February 2014 article about the expanded benefits of this placement. “Having BJC Home Care as an affiliate member of BJC, we’re able to leverage the resources BJC provides to help support in-home patient care beyond what’s reimbursable by Medicare,” said Erik Rasmussen, Program Manager, Accountable Care for BJC HealthCare.

How ACOs Started

Smiling couple in a hug.In October 2011, the Centers for Medicare and Medicaid Services (CMS) finalized new rules under the Affordable Care Act to help doctors, hospitals and other health care providers better coordinate care for Medicare patients.

ACOs create incentives for health care providers to work together to treat patients across care settings -- including doctor’s offices, hospitals and long-term care facilities.

The Medicare Shared Savings Program rewards ACOs that lower health care costs while meeting standards of quality care. For 2012, CMS established 33 quality measures relating to care coordination and patient safety, appropriate use of preventive health services, improved care for at-risk populations, and patient and caregiver experience of care.

How the BJC ACO is Organized

View our current BJC ACO commercial.

ACO Name and Location

BJC HealthCare ACO, LLC

Suite 300

670 Mason Ridge Center Drive

St. Louis, MO 63141


ACO Primary Contact

Nancy Kadlec, 

Program Director, Accountable Care



ACO Composition

  • A network of individual practices of ACO professionals, partnership or joint venture arrangements between hospitals and ACO professionals

ACO Participants

  • Ahmad A. Karadaghy, MD

  • Alton MultiSpecialists, Ltd.

  • Associated Specialists in Medicine

  • Aubra Houchin, DO

  • Barnes-Jewish St. Peters Hospital Physician Services

  • Boonslick Medical Group, Inc.

  • Brian Stufflebam, MD

  • CA Group LLC

  • Christopher M. Perry, DO, PC

  • Cohen Eye Associates Limited

  • Comprehensive Spine Care

  • Consultants In Women’s Healthcare, Inc.

  • Fairview Heights Medical Group, S. C.

  • Internal Medicine and Geriatrics Associates

  • Jacquelyn B. Garrett, MD

  • James Goldring, MD

  • Jeffrey S Glaser MD

  • Metropolitan Orthopedics, Ltd.

  • Michael J. Adams, DO

  • Mid Missouri Pain Management

  • Midwest Vascular and General Surgery, Inc.

  • Missouri Baptist Medical Center Physician Services

  • MSA Alliance LLC

  • Nephrology and Hypertension Specialists

  • O.A. Associates, LLC

  • OB Practice LLC

  • PC Associates LLC

  • Physician Groups, L.C.

  • Podiatry Associates, Inc.

  • Specialists In Gastroenterology

  • Specialty & Primary Care

  • Stein Urology, S.C.

  • St. Louis Cardiology Center, P.C.

  • St. Louis Urological Surgeons

  • St. Peters Bone and Joint Surgery

  • Stephen E. Kraft, MD

  • Stuart R. Adler, MD

  • Suburban OB/GYN

BJC ACO Governing Body

The ACO's governing body is its Board of Managers, which currently consists of the following individuals:

  • John Antes, Voting Member, President, Missouri Baptist Medical Center

  • John Ellena, MD, Voting Member, serving ex officio as the Medical Director of BJC Medical Group of Missouri and the President of BJC Medical Group of Illinois

  • Gary Grix, MD, Voting Member, Practicing Physician, BJC Medical Group

  • John Lynch, MD, Voting Member, Vice President, Chief Medical Officer, Barnes-Jewish Hospital

  • Hans Moosa, MD, Voting Member, Medical Director, Memorial Medical Group

  • Dale Nowlin, Voting Member, Medicare Beneficiary Representative

  • Douglas Pogue, MD, Voting Member, ACO Medical Director and President, BJC Medical Group

  • Tony Schwarm, Voting Member, President, Missouri Baptist Sullivan Hospital

  • Rick Stevens, Voting Member, President, Christian Hospital

  • Mark Turner, Voting Member, President Memorial Hospital

  • Sandra Van Trease, Voting Member and Chair, serving ex officio as the ACO President


BJC ACO Committees and Key Leadership Personnel

  • Quality & Efficiency Committee, Chair: Douglas Pogue, MD

  • Nominating Committee, Chair: Sandra Van Trease

  • Network Committee, Chair: Doug Pogue

  • Medical Director: Douglas Pogue, MD

  • Chief Executive Officer: Sandra Van Trease

  • Compliance Officer: Steven Bernstetter

  • Clinical Program Manager: Megan Guinn, RN, BSN

  • Program Director: Nancy Kadlec

  • Operation Program Manager: Karen Shakiba

Aggregate Amount of Shared Savings/Losses

  • Performance Year 1: $0

  • Performance Year 2: $0

  • Performance Year 3: $0


How Shared Savings are Distributed

  • Reinvest in infrastructure: First Dollars, At Cost
  • Distribution to ACO Participants:
  • Physicians: 50%
  • Primary Care Physician: 50%
  • Specialists: 50%
  • BJC Hospitals: 50%


Quality Performance Results